Adult wilms tumor with extra-axial cerebral extension: Case report and review of literature.
- Author:
Neddy L. Lim
;
Enrique Ian Lorenzo
;
Juan Godofredo Bardelos
;
Edgardo L. Reyes
;
Nelson A. Patron
- Publication Type:Case Reports
- Keywords:
Wilms tumor;
adult;
cerebral extension
- From:
Philippine Journal of Urology
2022;32(2):78-83
- CountryPhilippines
- Language:English
-
Abstract:
Wilms tumor is very rare in adults. Even more infrequent is an adult Wilms tumor with an extensioninto the central nervous system.Reported here is a case of an adult Wilms tumor in a 38-year-old female. She was referred to theJRRMMC with a 2 month history of intermittent hematuria associated with a rapidly enlargingabdominal mass and right-sided facial asymmetry. Abdominal computed tomography revealed a largemass inthe rightkidney. CranialMRI showedmultiple brainmetastases. Thepatient underwentrightradicalnephrectomy.Pathologicalanalysisdemonstratednephroblastoma.Thepatientwasdischargedunremarkable and underwent adjuvant chemotherapy. After 2 months, the patient succumbed to thedisease.Adult Wilms tumor presents almost similarly with renal cell carcinoma and there is no definitivediagnostictesttoconfirmitpre-operatively.Eventhoughit’sararetumor,itshouldalwaysbeincludedin the differential diagnosis for any renal tumor.
- Full text:Adult wilms tumor with extra-axial cerebral extension.pdf
